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Common symptoms of fecal impaction. Common symptoms of fecal impaction include: 1  Abdominal pain or cramping. 2  Abdominal swelling, distension or bloating. 3  Back pain. 4  Blood-streaked stools. 5  Change in bowel habits. 6  Diarrhea (can be explosive). 7  Difficulty urinating. 8  Fecal incontinence (inability to control stools).
Step defect and zone of impaction: In the acute injury phase (within two months), there is the presence of the step defect and the zone of impaction.3,4 (See figure 2.) The step defect is seen on the lateral projection and represents failure of the anterior superior cortex of the vertebral body.